"I started taking this drug because of moderate to severe adult acne (I am 28) and PMS symptoms (severe depression episodes and irritability that happened like clockwork the week before menstruation). I have been on the pill a month and half and I have already seen an improvement. Regarding acne, I broke out a little bit in the placebo week, but besides that I no longer get the severe acne i used to. I expected it to take at least a few months, so I was pleasantly surprised to see an effect. I also had a light period and did not notice mood swings. I had breakthrough bleeding during the first few weeks, at the beginning more severe and diminishing with time. On the second cycle, there is no bleeding anymore."